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It may be compounded to: Provide a specific dose for a patient

There are exceptions to this but in general it is left to Pharmaceutical companies to develop medicines that can be used to treat diseases like Pernicious Anaemia

The generic drug also must be therapeutically equivalent

Edwin Serrano, a neurology resident physician at MedStar Georgetown University Hospital, a B12 levels of about 300 picograms per milliliter is considered normal, and below 200 pg/ml is considered low